MRS. DEANNA CATHERINE REZK (NPI# 1609246305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609246305 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA CATHERINE REZK |
| Other Name | DEANNA CATHERINE REZK |
| Credential | FNP-C |
| Practice Address |
793 Old Route 119 Hwy N. Indiana PA 15701-1372 |
| Mailing Address |
793 Old Route 119 Hwy. N. Indiana PA 15701-1372 |
| Practice Telephone | 7244655576 |
| Practice Fax Number | 7244656379 |
| Mailing Telephone | 7244655576 |
| Mailing Fax Number | 7244656379 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015490 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP015490 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
793 OLD ROUTE 119 HWY N. |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780075267 | Rebecca Ann Friedline | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701 | 2015-02-05 |
| 1972952885 | Samantha Paige Shilling | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-06-10 |
| 1376990119 | Lynne A Campbell | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-05-23 |
| 1811344922 | Erik Sean Messinger | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2016-05-18 |
| 1689045189 | Stephanie Grace Ruth | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-10-12 |
| 1205206141 | Allison L Edmisten | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-10-05 |
| 1104295260 | Stacey D Fulmer | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-09-18 |
| 1386013449 | Ryan Joseph Delaney | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701-1372 | 2015-09-18 |
| 1750764700 | Gabrielle Padilla | Counselor | 793 Old Route 119 Hwy N., Indiana, PA 15701 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352017 | Jason Myers | Nurse Practitioner | 1070 Wayne Ave, Indiana, PA 15701-2951 | 2020-10-06 |
| 1023639556 | Mark W Boyd | Nurse Practitioner | 151 Mill Run Dr, Indiana, PA 15701-1533 | 2020-05-06 |
| 1043860430 | Debra Sue Murdick | Nurse Practitioner | 850 Hospital Rd Ste 1300, Indiana, PA 15701-3662 | 2019-09-17 |
| 1679120588 | Bonnie Cramer | Nurse Practitioner | 841 Hospital Rd Ste 2300, Indiana, PA 15701-3699 | 2019-08-26 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1679848477 | Elizabeth Jean Houser | Nurse Practitioner | 901 Maple Street, Suite G-65, Indiana, PA 15705 | 2012-03-13 |
| 1366453813 | Susan Marie Bevevino | Nurse Practitioner | 1265 Wayne Ave Ste 306, 119 Professional Center, Indiana, PA 15701-3501 | 2006-08-10 |
| 1194708594 | Edna Iona Burford | Nurse Practitioner | 1516 Fleming Rd, Indiana, PA 15701-7814 | 2005-11-21 |
| 1013490739 | Cissy Elizabeth Bassett | Nurse Practitioner | 2501 Warren Rd, Indiana, PA 15701-3280 | 2018-09-09 |
| Find all providers in INDIANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.